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Nebraska rates for HCPCS Q4213

Ascent, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $54.95 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $57.54 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $69.18 / $107.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $69.18 / $83.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $70.79 / $181.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $69.18 / $74.13